I refuse to sign anything that says I have a diagnosis of borderline--which, of course, they tend to interpret as proof that I'm borderline. It's a trash-can diagnosis. They've decided borderlines are untreatable, so they offer us inadequate care. When we fail to improve, then that's used as proof that borderlines are untreatable. It's Mobius-loop logic, and they call us crazy? And if you try to point out the error in their reasoning, that's seen as manipulative. Once you have the diagnosis, EVERYTHING you say or do is interpreted as manipulative or attention-seeking, and there's no way for the patient to win.

I'm not sure there is a way to fix it, but I'm pretty cynical and angry about the state of psychiatric treatment in general. I think the system's too broken to be fixed.